BNF for Children 2011-2012

654 15.2 Local anaesthesia BNFC 2011–2012Licensed use 2 mg/mL strength not licensed for usein children under 12 years except for acute painmanagement by caudal epidural block and continuousepidural infusion; 7.5 mg/mL and 10 mg/mLstrengths not licensed for use in children under 12yearsIndication and doseTo avoid excessive dosage in obese children, doseshould be calculated on the basis of ideal weight forheightAdjust according to child’s physical status andnature of procedure, seek expert advice—important:see also under Administration, p. 649Ropivacaine (Non-proprietary) AInfusion, ropivacaine hydrochloride 2 mg/mL, netprice 200 mL = £14.45Ametop c (S&N Hlth.)Gel, tetracaine 4%, net price 1.5-g tube = £1.08Excipients include hydroxybenzoates (parabens)DoseNeonate apply contents of tube (or appropriate proportion)to site of venepuncture or venous cannulation andcover with occlusive dressing; remove gel and dressingafter 30 minutes for venepuncture and after 45 minutesfor venous cannulationChild 1 month–18 years apply contents of tube (orappropriate proportion) to site of venepuncture orvenous cannulation and cover with occlusive dressing;remove gel and dressing after 30 minutes for venepunctureand after 45 minutes for venous cannulationNote Child 5–18 years, contents of max. 5 tubes appliedat separate sites at a single time, child 1 month–5 years,contents of max. 1 tube applied at separate sites at asingle timeNaropin c (AstraZeneca) AInjection, ropivacaine hydrochloride 2 mg/mL, netprice 10-mL Polyamp c = £1.78; 7.5 mg/mL, 10-mLPolyamp c = £2.65; 10 mg/mL, 10-mL Polyamp c =£3.20Electrolytes Na +